A 58 year old lady was admitted to one of our medical wards via her GP
after several days D & V. On admission her results were as follows:
Sodium 101mmol/L
Potassium 1.9mmol/L
Urea 2.4mmol/L
Creatinine 38µmol/L
Albumin 29g/L
Glucose 6.2mmol/L
One month before her GP had run similar tests and all were normal, he was
monitoring diuretic use.
A urine drug screen showed some benzodiazepine metabolites.
She was treated with hypertonic saline and potassium and within two to
three days her electrolytes returned to more or less normal. Over her
period in the ward her hair fell out. She died four weeks later. The
medical team who looked after her are still looking for a reason for her
presenting electrolyte results and have some suspicion of her husband, who
appeared to show an unhealthy interest in her pathology rather than her
well being.
Any one have any ideas?
Thanks
Paul Robinson
Royal Berkshire Hospital
Reading
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